How much rates vary
Facilitymedian $1,995 · 10th to 90th $1,000 to $6,026Professionalmedian $2,344 · 10th to 90th $1,000 to $4,074
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Facility Modifier 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | 54 · Surgery only | $758.58 | $758.58 | $758.58 |
Aetna Setting Facility Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | 78 · Unplanned return to OR | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,071.52 | Professional | None | $1,000.00 | $1,000.00 | $1,071.52 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $758.58 Median $758.58 Typical High $776.25 | Professional | 54 · Surgery only | $758.58 | $758.58 | $776.25 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $707.95 Median $707.95 Typical High $724.44 | Professional | 78 · Unplanned return to OR | $707.95 | $707.95 | $724.44 |
BCBS Minnesota Setting Facility Modifier None Typical Low $2,630.27 Median $6,165.95 Typical High $11,748.98 | Facility | None | $2,630.27 | $6,165.95 | $11,748.98 |
BCBS Minnesota Setting Professional Modifier None Typical Low $1,778.28 Median $2,454.71 Typical High $3,715.35 | Professional | None | $1,778.28 | $2,454.71 | $3,715.35 |
BCBS Minnesota Setting Professional Modifier 54 · Surgery only Typical Low $1,412.54 Median $1,995.26 Typical High $3,019.95 | Professional | 54 · Surgery only | $1,412.54 | $1,995.26 | $3,019.95 |
BCBS Minnesota Setting Professional Modifier 78 · Unplanned return to OR Typical Low $1,513.56 Median $2,089.30 Typical High $3,162.28 | Professional | 78 · Unplanned return to OR | $1,513.56 | $2,089.30 | $3,162.28 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $2,570.40 Typical High $4,897.79 | Facility | None | $1,659.59 | $2,570.40 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $1,584.89 Median $2,691.53 Typical High $4,265.80 | Professional | None | $1,584.89 | $2,691.53 | $4,265.80 |
Health Partners Setting Facility Modifier None Typical Low $1,479.11 Median $2,398.83 Typical High $4,168.69 | Facility | None | $1,479.11 | $2,398.83 | $4,168.69 |
Health Partners Setting Professional Modifier None Typical Low $1,412.54 Median $2,511.89 Typical High $3,981.07 | Professional | None | $1,412.54 | $2,511.89 | $3,981.07 |
Medica Setting Facility Modifier None Typical Low $758.58 Median $1,412.54 Typical High $3,090.30 | Facility | None | $758.58 | $1,412.54 | $3,090.30 |
Medica Setting Professional Modifier None Typical Low $1,071.52 Median $1,905.46 Typical High $9,332.54 | Professional | None | $1,071.52 | $1,905.46 | $9,332.54 |
United Setting Facility Modifier None Typical Low $758.58 Median $1,513.56 Typical High $3,630.78 | Facility | None | $758.58 | $1,513.56 | $3,630.78 |
United Setting Professional Modifier None Typical Low $1,023.29 Median $1,698.24 Typical High $3,981.07 | Professional | None | $1,023.29 | $1,698.24 | $3,981.07 |
12 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | 52 · Reduced service | $501.19 | $501.19 | $501.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | 53 · Discontinued | $199.53 | $199.53 | $199.53 |
Aetna Setting Facility Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | 55 · Aftercare only | $151.36 | $151.36 | $151.36 |
Aetna Setting Facility Modifier 56 · Pre-op care only Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | 56 · Pre-op care only | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $501.19 Median $501.19 Typical High $512.86 | Professional | 52 · Reduced service | $501.19 | $501.19 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $204.17 | Professional | 53 · Discontinued | $199.53 | $199.53 | $204.17 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $151.36 Median $151.36 Typical High $154.88 | Professional | 55 · Aftercare only | $151.36 | $151.36 | $154.88 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $100.00 Median $100.00 Typical High $102.33 | Professional | 56 · Pre-op care only | $100.00 | $100.00 | $102.33 |
BCBS Minnesota Setting Facility Modifier 50 · Both sides Typical Low $3,890.45 Median $7,244.36 Typical High $12,882.50 | Facility | 50 · Both sides | $3,890.45 | $7,244.36 | $12,882.50 |
BCBS Minnesota Setting Professional Modifier 50 · Both sides Typical Low $2,691.53 Median $3,715.35 Typical High $5,623.41 | Professional | 50 · Both sides | $2,691.53 | $3,715.35 | $5,623.41 |
BCBS Minnesota Setting Professional Modifier 55 · Aftercare only Typical Low $371.54 Median $501.19 Typical High $758.58 | Professional | 55 · Aftercare only | $371.54 | $501.19 | $758.58 |
BCBS Minnesota Setting Professional Modifier 62 · Two surgeons Typical Low $1,174.90 Median $1,548.82 Typical High $2,290.87 | Professional | 62 · Two surgeons | $1,174.90 | $1,548.82 | $2,290.87 |
Where Minnesota sits
The same service costs 21.9 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Minnesota· 4th of 51
$2,291
AK $4,467TX $204
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.